Browsing by Author "Fazly Azry Abdul Aziz"
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- PublicationAssociation between functional limitations and depression among community‐dwelling older adults in Malaysia(2020)
;Noor Ani Ahmad ;Mohamad Aznuddin Abd Razak ;Mohd ShaifulAzlan Kassim ;Norhafizah Sahril ;Fazila Haryati Ahmad ;Abdul Aziz Harith ;Nur Azna Mahmud ;Fazly Azry Abdul Aziz ;Mohd Hazrin Hasim ;Hasimah IsmailSherina Mohd SidikAim: This study aimed to assess the relationship between functional limitations and depression among community‐dwelling older adults in Malaysia. Methods: Data from a nation‐wide community‐based cross‐sectional study were analyzed. This study was conducted using a two‐stage stratified random sampling design. In total, 3772 older adults aged ≥60 years responded to the survey. Depression was identified using a validated Malay version of the Geriatric Depression Scale (M‐GDS‐14), with those scored ≥6 categorized as having depression. Functional limitations were assessed using both Barthel's Activities of Daily Living (ADL) and Lawton's Instrumental Activities of Daily Living (IADL). The relationship was determined by multivariate logistic regression, adjusted for other variables. Results: The prevalence of depression was 11.5% (95% confidence interval [CI] 9.4, 13.4). Multiple logistic regression analysis found that older adults with limitations in ADL were 2.6 times more likely of having depression (adjusted odds ratio [aOR] 2.58, 95% CI 2.01, 3.32), while those with limitations in IADL the risk of having depression was almost doubled (aOR 1.68, 95% CI: 1.32, 2.14). Other significant factors were incontinence (aOR 3.33, 95% CI: 2.33, 4.74), chronic medical illness (aOR 1.44, 95% CI: 1.15, 1.81), current smoker (aOR 4.19, 95% CI: 1.69, 10.39), poor social support (aOR 4.30, 95% CI: 2.98, 6.20), do not have partner, ethnic minorities and low individual monthly income. Conclusions: Older adults with functional limitation in both basic ADL and complex IADL are independently at higher risk of having depression. Geriatr Gerontol Int 2020; 20: 21–25. - PublicationFactors Associated With Suicidal Attempt Among School-Going Adolescents in Malaysia(2019)
;Fazly Azry Abdul Aziz ;Mohamad Aznuddin Abd Razak ;Noor Ani Ahmad ;S. Maria Awaluddin ;Noor Aliza Lodz ;Rajini Sooryanarayana ;Nik Adilah Shahein ;Noraida Mohamad Kasim ;Nor’ain Abd WahabRasidah JamaluddinVarious factors contribute to suicidal attempt. This study aims to determine the relationship between suicidal attempt and its associated factors among school-going adolescents in Malaysia. Data from the National Health and Morbidity 2017 survey were analyzed. This survey was implemented as a nationwide school-based survey targeting adolescents 13 to 17 years old. Descriptive and multiple logistic regression analysis was done using SPSS version 20. A total of 27 399 adolescents participated in this survey. The prevalence of suicidal attempt was 6.9% (95% confidence interval = 6.2-7.7). Multivariate analysis found that the odds of suicidal attempt among adolescent with depression is 4.3 (adjusted odds ratio = 4.3; 95% confidence interval = 3.9-4.8). Other significant factors are young adolescent, non-Malay ethnicities especially Indian, adolescent with parents living apart, and those without peer support and parental connectedness. A holistic approach for the planning of preventative strategies and public health policies should be made according to these risk factors. - PublicationPostnatal depression and intimate partner violence: a nationwide clinic-based cross-sectional study in Malaysia(2018)
;Noor Ani Ahmad ;Umi Adzlin Silim ;Azriman Rosman ;Majdah Mohamed ;Ying Ying Chan ;Noraida Mohd Kasim ;Muslimah Yusof ;Mohamad Aznuddin Abd Razak ;Maisarah Omar ;Fazly Azry Abdul Aziz ;Rasidah Jamaluddin ;Fatanah Ismail ;Nurashikin IbrahimTahir ArisIntroduction: An estimated 13% of women in the postnatal period suffer from postnatal depression (PND) worldwide. In addition to underprivileged women, women who are exposed to violence are at higher risk of PND. This study aimed to investigate the relationship between intimate partner violence (IPV) and PND in Malaysia. Methods: This survey was conducted as a nationwide cross-sectional study using a cluster sampling design. Probable PND was assessed using a self-administered Edinburgh Postnatal Depression Scale (EPDS). Demographic profiles and IPV were assessed using a locally validated WHO Multicountry Study on Women’s Health and Life Events Questionnaire that was administered in a face-to-face interview. An EPDS total score of 12 or more and/or a positive tendency to self-harm were used to define PND. Results: Out of 6669 women, 5727 respondents were successfully interviewed with a response rate of 85.9%. The prevalence of probable PND was 4.4% (95% CI 2.9 to 6.7). The overall prevalence of IPV was 4.9% (95% CI 3.8 to 6.4). Among the women in this group, 3.7% (95% CI 2.7 to 5.0), 2.6% (95% CI 1.9 to 3.5) and 1.2% (95% CI 0.9 to 1.7) experienced emotional, physical and sexual violence, respectively. Logistic regression analysis revealed that women who were exposed to IPV were at 2.3 times the risk for probable PND, with an adjusted OR (aOR) of 2.34 (95% CI 1.12 to 4.87). Other factors for PND were reported emotional violence (aOR 3.79, 95% CI 1.93 to 7.45), unplanned pregnancy (aOR 3.32, 95% CI 2.35 to 4.69), lack of family support during confinement (aOR 1.79, 95% CI 1.12 to 2.87), partner’s use of alcohol (aOR 1.59, 95% CI 1.07 to 2.35) or being from a household with a low income (aOR 2.99; 95% CI 1.63 to 5.49). Conclusions: Exposure to IPV was significantly associated with probable PND. Healthcare personnel should be trained to detect and manage both problems. An appropriate referral system and support should be made available. - PublicationPrevalence and determinants of disability among adults in Malaysia: results from the National Health and Morbidity Survey (NHMS) 2015(2017)
;Noor Ani Ahmad ;Noraida Mohamad Kasim ;Nur Azna Mahmud ;Yusniza Mohd Yusof ;Salimah Othman ;Ying Ying Chan ;Mohamad Aznuddin Abd Razak ;Muslimah Yusof ;Maisarah Omar ;Fazly Azry Abdul Aziz ;Rasidah Jamaluddin ;Norazizah Ibrahim WongTahir ArisBackground: Reliable national data on disability which is internationally comparable is needed in Malaysia. This study aims to examine the prevalence of disability among adults in Malaysia and its determinants, particularly the socioeconomic factors and comorbidities. Methods: This study was based on the disability module, which is part of the National Health and Morbidity Survey 2015. This survey was implemented using a multi-stage stratified sampling design. A locally validated Washington Group questionnaire was used to collect data on disability. Results: Based on the definition of having at least one domain scored "a lot of difficulty or unable to do at all" or at least “some difficulty” scored in two domains, the prevalence of disability among adults in Malaysia was 11.8% (95% CI: 11.15, 12.53). Logistic regression analysis performed showed that population at risk of having disability in Malaysia were those of older people, ethnic minority, low level of education, single, obese, physically inactive and having mental health problems. Among older people, disability was significantly higher among those with no formal education, having mental health problems and physically inactive. Conclusions: The prevalence of disability among adults in Malaysia is comparable to WHO estimates and most developing countries. Planning for healthcare services should consider at-risk population, particularly older people and those from disadvantaged background to ensure equity healthcare. - PublicationPrevalence and Factors Associated with Intimate Partner Violence among Postpartum Women Attending Government Primary Health Care Clinics in Malaysia(2018)
;Ying Ying Chan ;Azriman Rosman ;Noor Ani Ahmad ;Noraida Mohamad Kasim ;Mohamad Aznuddin Abd Razak ;Maisarah Omar ;Fazly Azry Abdul Aziz ;S. Maria Awaluddin ;Muslimah Yusof ;Rasidah Jamaluddin ;Nor’Ain Ab WahabNajwa Hanim RosliIntimate partner violence (IPV) is an important gender-based, social, and public health problem that affects women worldwide, including women who are pregnant or have recently given birth. Studies have shown that violence against women often increases during pregnancy and the postpartum period. This study aims to examine lifetime and past-year prevalence of IPVamong postpartum women in Malaysia, and to determine the socio-demographic as well as husband’s/partner’s behavioral factors associated with IPV exposure. This is a nationwide, cross-sectional and clinic-based study involving a total of 5727 women at 6 to 16 weeks postpartum, who attended randomly selected government health clinics between July to November 2016. Face-to-face interviews were conducted by trained female enumerators based on a pre-validated structured questionnaire, using mobile devices as data collection tools. Chi squared tests and multivariable logistic regressions were used to investigate selected factors associated with IPVexposure. The lifetime and past-year prevalence of any form of IPV among postpartum women were 4.94% (95% CI [3.81,6.39]) and 2.42% (95% CI [1.74,3.35]) respectively, with the highest prevalence being emotional violence, followed by physical and sexual violence. Multivariable analysis showed that husband’s/partner’s behaviors, such as frequent alcohol use, drug use, fighting habits and control ling behaviour were significantly associated with both lifetime and past-year IPV (all p < 0.001 for past-year IPV). These findings suggest that prevention and intervention strategies for IPV should consider the prevention of substance use and reducing controlling behaviors by husband/partner, as well as raising awareness to build healthy relationships through education. - PublicationPrevalence of Anaemia among the Elderly in Malaysia and Its Associated Factors: Does Ethnicity Matter?(2018)
;Muslimah Yusof ;S. Maria Awaluddin ;Maisarah Omar ;Noor Ani Ahmad ;Fazly Azry Abdul Aziz ;Rasidah Jamaluddin ;Tahir ArisMaw Pin TanIntroduction. Anaemia is common among the elderly, yet it remains an underresearched clinical condition. This study investigates ethnic differences in prevalence of anaemia and identifies potential factors associated with anaemia in the elderly. Methods. Data from the National Health & Morbidity Survey (NHMS) 2015 conducted by Ministry of Health was analyzed. Haemoglobin levels were measured using point-of-care testing, HemoCue® Hb 201+ System©, from consenting individuals. Demographic information and other clinical information were obtained through a structured questionnaire. Descriptive and multivariate analyses were conducted and significant results were presented as adjusted odds ratio. Results. A total of 3794 participants aged 60 years and older responded to the anaemia module with a response rate of 93.7%. 64.0% of respondents were of Malay ethnicity, 21.6% were Chinese, 6.1% were Indians, and 8.3% were of other ethnicities. The overall prevalence of anaemia among older people was 35.3%. The highest prevalence of anaemia was found among respondents of Indian ethnicity (45.5%). The Indian (aOR: 1.72; 95% CI 1.26–2.34) and Malay (aOR: 1.25; 95% CI 1.04–1.49) ethnic groups were more likely to be anaemic in comparison to those of Chinese ethnicity. Anaemia in older people was also associated with increasing age, history of hospital admission, and the presence of diabetes mellitus. Conclusion. Anaemia in the elderly is associated with Indian and Malay ethnicities, increasing age, hospitalization, and diabetes. Our study has identified important information on a common condition which will guide and assist future studies in reducing the burden of anaemia. - PublicationPrevalence of and factors associated with diarrhoeal diseases among children under five in Malaysia: a cross-sectional study 2016(2018)
;Fazly Azry Abdul Aziz ;Noor Ani Ahmad ;Mohamad Aznuddin Abdul Razak ;Maisarah Omar ;Noraida Mohamad Kasim ;Muslimah Yusof ;Rajini Sooryanarayana ;Rasidah JamaludinChan Ying YingBackground: Globally, diarrhoea is one of the major causes of morbidity and mortality among children under than 5 years of age. There is a scarcity of published data on acute gastroenteritis (AGE) prevalence in Malaysia among children. This study aims to determine factors associated with diarrhoea in children aged less than 5 years in Malaysia. Method: Data from the National Health and Morbidity Survey 2016 conducted by Ministry of Health was analysed. This nationwide survey involved 15,188 children below five years old. The survey was carried out using a two-stage stratified sampling design to ensure national representativeness. The Questionnaire from UNICEF’s Multiple Indicator Cluster. Survey (MCIS) was adapted to suit local requirements. Analysis was done using SPSS Version 23. Descriptive followed by multiple logistic regression were done to identify relevant factors. Result: The prevalence of diarrhoea among children under five in Malaysia was 4.4% (95% CI: 3.8,5.2). Analysis using logistic regression indicated that only ethnicity and usage of untreated water were significantly associated with diarrhoea among children after controlling for relevant factors. By ethnicity, children in the ‘Other Bumiputera’ group had 2.5 times the odds of having diarrhoea compared to children of Malay ethnicity. Children of Indian ethnicity were also at higher risk, at almost double the odds, as well as other ethnic groups (1.5 times). Children who used untreated water supply were two times more likely to develop diarrhoea. Conclusion: There is a higher risk of diarrhoea among children of ‘Other Bumiputera’ ethnicity, Indian ethnicities, and other ethnic groups and those who consume untreated water. Strategies to reduce diarrhoea among children should be targeted towards these at-risk populations. In addition, the Government must strive to ensure universal access to treated clean water in Malaysia and the Ministry of Health must focus on raising awareness on how to prevent diarrhoea. - PublicationRelationship between urinary incontinence and quality of life of older persons in Malaysia(2020)
;Muhd H Taufik Ramli ;Noor Aliza Lodz ;Fazly Azry Abdul Aziz ;Tan Maw Pin ;Nazirah Alias ;Mohd Hatta Abdul Mutalip ;Norhafizah Sahril ;Mohd Shaiful Azlan Kassim ;Halizah Mat RifinEida Nurhadzira MuhammadAims: As the Malaysian population is aging rapidly, there is an urgent need for an effective management plan for healthy aging, to extend life expectancy and to improve quality of life (QoL). Urinary incontinence (UI), which is common in older persons, is often linked to reduced QoL. This study aimed to determine the effects of UI on QoL among older persons in Malaysia. Methods: This study was based on data obtained from 3716 Malaysians aged ≥60 years as part of the National Health and Morbidity Survey (NHMS) 2018. QoL was measured using the Control, Autonomy, Self‐realization and Pleasure 19‐item (CASP‐19) questionnaire. UI was measured using the Questionnaire Urinary Incontinence Diagnosis (QUID) score. Association between UI and QoL were examined using linear regression analysis, after controlling socio‐demographic variables and comorbidities. Results: Overall, the prevalence of UI was 5.2%. By subtypes, the prevalence of stress UI and urge UI were both 2.0%, while that of mixed UI was 1.3%. The UI group rated their lives more negatively in all four domains of QoL compared with non‐UI group. Those who were incontinent had lower standardized scores on control and autonomy domains of CASP‐19 as well as total score. Results from linear regression analysis indicated that UI had a significantly negative impact on control and autonomy domains of QoL after controlling for socio‐demographic factors and comorbidities. Conclusion: UI contributes to a significant reduction on QoL of older persons. Healthcare providers need to be sensitive in evaluating and discussing UI, particularly with their older patients. Geriatr Gerontol Int 2020; 20: 38–42.